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Long-Term Effects of a Maintenance Program After Supervised or Self-Monitored Training Programs in Patients with COPD

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Abstract

The evaluation of a 13-month maintenance program (MP) for 39 severe COPD patients with FEV1%pred 44(7)% who, as result of two different 8-week leg exercise training (LET) programs, one supervised at the hospital (group S; n = 20) and the other self-monitored (SM; n = 19), had achieved different levels of exercise tolerance. After LET, patients in group S had a higher maximal oxygen uptake and endurance time than patients in the SM group [

O2max 1.43(0.30) l · min−1] vs l.25(0.27) l · min−1 and endurance-time 16(4) min vs 12 (5) min, respectively). During the MP patients were advised to walk vigorously at least 4 km/day, 4 times/wk. After the MP, while endurance time remained higher than at baseline, it had decreased (p < 0.01) immediately after LET in both groups and no differences were evident between groups (11(4) min and 10(4), respectively). In contrast, Chronic Respiratory Diseases Questionnaire scores, which had improved significantly after LET in both groups, remained high. Long-term effects of MP were independent of the training strategy or whether physiological improvements had been obtained with the initial LET. SM exercise programs do not seem capable of maintaining physiological improvements in exercise tolerance, though “quality of life” can be maintained.

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References

  1. R Casaburi TL Petty (1993) Principles and practice of pulmonary rehabilitation. Saunders WB Philadelphia

    Google Scholar 

  2. NM Siafakas P Vermeire NB Pride et al. (1995) ArticleTitleOptimal assessment and management of chronic obstructive pulmonary disease (COPD). The European Respiratory Society Task Force. Eur Respir J 8 1398–1420 Occurrence Handle1:STN:280:BymD1cjlsFY%3D Occurrence Handle7489808

    CAS  PubMed  Google Scholar 

  3. SC Lareau R ZuWallack BW Carlin et al. (1999) ArticleTitlePulmonary rehabilitation. Am J Crit Care Med 159 1666–1682

    Google Scholar 

  4. AL Ries BW Carlin V Carrieri-Kohlman et al. (1997) ArticleTitlePulmonary rehabilitation. Joint ACCP/AACVPR evidence-based guidelines. Chest 112 1363–1396 Occurrence Handle9367481

    PubMed  Google Scholar 

  5. Y Lacasse E Wong H Guyatt et al. (1996) ArticleTitleMeta-analysis of respiratory rehabilitation in chronic obstructive pulmonary disease. Lancet 48 115–119

    Google Scholar 

  6. AL Ries RM Kaplan TM Limberg et al. (1995) ArticleTitleEffects of pulmonary rehabilitation on physiologic and psychosocial outcomes in patients with chronic obstructive pulmonary disease. Ann Intern Med 122 823–832 Occurrence Handle1:STN:280:ByqB2MbptlI%3D Occurrence Handle7741366

    CAS  PubMed  Google Scholar 

  7. CJ Clark (1993) of Evaluation of the results of pulmonary rehabilitation treatment. R Casaaburi TL Petty (Eds) Principles and practice of pulmonary rehabilitation. Saunders WB Philadelphia, PA 405–414

    Google Scholar 

  8. RS Goldstein EH Gort GH Guyatt et al. (1997) ArticleTitleEconomic analysis of respiratory rehabilitation. Chest 112 370–379 Occurrence Handle1:STN:280:ByiH3M%2FhsFI%3D Occurrence Handle9266871

    CAS  PubMed  Google Scholar 

  9. L Puente-Maestu ML Sánz P Sánz et al. (2000) ArticleTitleComparison of the effects of supervised versus self-monitored training programs in patients with Chronic Obstructive Pulmonary Disease. Eur Respir J 15 517–525 Occurrence Handle10.1034/j.1399-3003.2000.15.15.x Occurrence Handle1:STN:280:DC%2BD3c3itFajsg%3D%3D Occurrence Handle10759446

    Article  CAS  PubMed  Google Scholar 

  10. InstitutionalAuthorNameAmerican Thoracic Society (1987) ArticleTitleStandards for the diagnosis and care of patients with chronic obstructive pulmonary disease (COPD) and asthma. Am Rev Respir Dis 134 239–243

    Google Scholar 

  11. Ph H Quanjer (1993) ArticleTitleStandardization of lung function tests- 1993 update. Report working party for the European Community for Steel and Coal. Eur Respir J 5 IssueIDsuppl 16 1–23

    Google Scholar 

  12. InstitutionalAuthorNameMedical Research Council (1966) Committee on research into chronic bronchitis: instruction for use of the questionnaire on respiratory symptoms. WJ Holman Devon

    Google Scholar 

  13. LF Black RE Hyatt (1969) ArticleTitleMaximal respiratory pressure: normal values and relationships to age and sex. Am Rev Respir Dis 99 696–702 Occurrence Handle1:STN:280:CCaC1M3ltFA%3D Occurrence Handle5772056

    CAS  PubMed  Google Scholar 

  14. GH Guyatt LB Berman M Townsend et al. (1987) ArticleTitleA measure of health-related quality of life for clinical trials in chronic lung disease. Thorax 42 773–778 Occurrence Handle1:STN:280:BieC3c%2FktVU%3D Occurrence Handle3321537

    CAS  PubMed  Google Scholar 

  15. R Güell P Casan M Sangenis et al. (1995) ArticleTitleTraducción española y validación del cuestionario de calidad de vida en pacientes con enfermedad obstructiva crónica (EPOC). Arch de Bronconeumol 31 202–210

    Google Scholar 

  16. B Balke R Ware (1959) ArticleTitleAn experimental study of physical fitness of Air Force personnel. US Armed Forces Med J 10 675–688

    Google Scholar 

  17. JE Hansen DY Sue K Wasserman (1984) ArticleTitlePredicted values for clinical exercise testing. Am Rev Respir Dis 129 S49–S55 Occurrence Handle1:STN:280:BiuC38nivFU%3D Occurrence Handle6421218

    CAS  PubMed  Google Scholar 

  18. GAV Borg (1982) ArticleTitlePsychophysical bases of perceived exertion. Med Sci Sports Exerc 14 377–381 Occurrence Handle1:STN:280:BiyC3Mvkt1U%3D Occurrence Handle7154893

    CAS  PubMed  Google Scholar 

  19. GH Guyatt S Walter G Norman (1987) ArticleTitleMeasuring the change over time: assessing the usefulness of evaluative instruments. J Chron Dis 40 171–178 Occurrence Handle1:STN:280:BiiC3sfhtFE%3D

    CAS  Google Scholar 

  20. PJ Wijkstra TW van der Mark J Kraan et al. (1996) ArticleTitleLong-term effects of home rehabilitation on physical performance in chronic obstructive pulmonary disease. Am J Crit Care Med 153 1234–1241 Occurrence Handle1:STN:280:BymC1Mjis1Q%3D

    CAS  Google Scholar 

  21. GH Guyatt LB Berman BA Townsend (1987) ArticleTitleLong-term outcome after respiratory rehabilitation. Can Med Assoc J 137 1089–1095 Occurrence Handle1:STN:280:BieD2M3jsFE%3D

    CAS  Google Scholar 

  22. CAJ Ketelaars HH Abu-Saad MAG Schlösser et al. (1997) ArticleTitleLong-term outcome of pulmonary rehabilitation in patients with COPD. Chest 112 363–369 Occurrence Handle1:STN:280:ByiH3M%2FhsFE%3D Occurrence Handle9266870

    CAS  PubMed  Google Scholar 

  23. R Güel P Casan J Belda et al. (2000) ArticleTitleLong-term effects of outpatient rehabilitation in COPD. Chest 117 976–983 Occurrence Handle10.1378/chest.117.4.976 Occurrence Handle10767227

    Article  PubMed  Google Scholar 

  24. TL Griffiths ML Burr IA Campbell et al. (2000) ArticleTitleResults at 1 year of outpatient multidisciplinary pulmonary rehabilitation: a randomised controlled trial. Lancet 355 362–368 Occurrence Handle10.1016/S0140-6736(99)07042-7 Occurrence Handle1:STN:280:DC%2BD3c7islehsA%3D%3D Occurrence Handle10665556

    Article  CAS  PubMed  Google Scholar 

  25. K Foglio L Bianchi G Bruletti et al. (1999) ArticleTitleLong-term effectiveness of pulmonary rehabilitation in patients with chronic airway obstruction. Eur Respir J 13 125–132 Occurrence Handle10.1183/09031936.99.13112599 Occurrence Handle1:STN:280:DC%2BD3czos1GmsA%3D%3D Occurrence Handle10836336

    Article  CAS  PubMed  Google Scholar 

  26. T Troosters R Gosselink M Decramer (2000) ArticleTitleShort- and long-term effects of outpatient rehabilitation in patients with chronic obstructive pulmonary disease: a randomized trial. Am J Med 109 207–212 Occurrence Handle1:STN:280:DC%2BD3cvnsFeqsQ%3D%3D Occurrence Handle10974183

    CAS  PubMed  Google Scholar 

  27. JM Grosbois C Lamblin B Lemaire et al. (1999) ArticleTitleLong-term benefits of exercise maintenance after outpatient rehabilitation program in patients with chronic obstructive pulmonary disease. J Cardiopulm Rehabil 19 216–225 Occurrence Handle1:STN:280:DyaK1Mzot1yjsg%3D%3D Occurrence Handle10453428

    CAS  PubMed  Google Scholar 

  28. JH Strijbos DS Postma R van Altena et al. (1996) ArticleTitleComparison between outpatient hospital-based pulmonary rehabilitation program and home-care pulmonary rehabilitation program in patients with COPD. A follow-up of 18 months. Chest 109 366–373 Occurrence Handle1:STN:280:BymC1cjmsFE%3D Occurrence Handle8620707

    CAS  PubMed  Google Scholar 

Download references

Acknowledgements

Richard Casaburi occupies the Alvin Grancell/Mary Burns Chair in the Rehabilitative Sciences. This study was financed by Fondo de Investigaciones Sanitarias (grant 01/0614).

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Authors and Affiliations

  1. Hospital General Universitario Gregorio Marañón, Servicio de Neumología, Dr. Ezquerdo 46, 28007 Madrid, Spain

    L. Puente-Maestu

  2. Hospital General Virgen de la Torre, Servicio de Neumología, Madrid, Spain

    M. Luisa Sánz & P. Sánz

  3. Hospital Nuestra Señora del Prado, Talavera de la Reina, Spain

    Ruíz J. M. de Oña

  4. Hospital Universitario Puerta del Mar, Cádiz, Spain

    A. Arnedillo

  5. Rehabilitation Clinical Trials Center, Harbor-UCLA Research and Education Institute, Torrance, CA, USA

    R. Casaburi

Authors
  1. L. Puente-Maestu
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  2. M. Luisa Sánz
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  3. P. Sánz
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  4. Ruíz J. M. de Oña
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  5. A. Arnedillo
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  6. R. Casaburi
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Correspondence to L. Puente-Maestu.

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Puente-Maestu, L., Luisa Sánz, M., Sánz, P. et al. Long-Term Effects of a Maintenance Program After Supervised or Self-Monitored Training Programs in Patients with COPD . Lung 181, 67–78 (2003). https://doi.org/10.1007/s00408-003-1007-0

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  • DOI: https://doi.org/10.1007/s00408-003-1007-0

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